Objective: To investigate the clinical significance of neck vascular ultrasound in diagnosing the atherosclerotic cerebral infarction. Method: 32 cases with atherosclerotic cerebral infarction were considered as the observation group from June 2010 to June 2011 in our hospital, while 32 cases with non-atherosclerotic cerebral infarction of healthy body examination were considered as the control group. The two groups were all used color doppler ultrasound machine to diagnose, then compared the results. Result: In the observation group, 6 cases had moderate narrow of carotid artery, 13 cases with severe narrow, one case with occlusion of the lumen, atherosclerotic plaque were in 26 cases, accounting for 81. 25% , 29 cases with endo-metrial thickening, accounting for 90. 63% ; In the control group, 8 cases had been detected for plaques, mostly plaques were soft spot, accounting for 25% , and 12 cases had intimal thickening, accounting for 37. 50% . Conclusion: Doppler ultrasound machine detecting carotid artery has significance of diagnosing atherosclerotic cerebral infarction, and it shows that the incidence of cerebral infarction and carotid atherosclerosis is closely related to the treatment of cerebral infarction, which has important clinical significance.%目的 探讨颈部血管彩超诊断动脉硬化性脑梗死的临床意义.方法 选择我院2010年6月至2011年6月收治的动脉硬化性脑梗死患者32例作为观察组,另选32例同期健康体检者及住院的非脑血管病患者作为对照组,两组诊断均采用彩色多普勒超声诊断仪,比较两组的诊断效果.结果 观察组颈动脉中度狭窄6例,重度狭窄13例,1例管腔闭塞,动脉粥样硬化斑块发生26例,占81.25%,29例出现内膜增厚,占90.63%;对照组检出斑块8例,以软斑居多,占25%,内膜增厚12例,占37.50%.结论 多普勒超声诊断仪检查颈动脉血管对动脉硬化性脑梗死诊断有重大意义,且发现脑梗死的发生与颈动脉硬化密切相关,对脑梗死的治疗有重要的临床意义.
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